Insurance Credentialing & Provider Enrollment

Insurance Credentialing & Provider Enrollment

Part of our process includes maintaining the financial health of your practice/facility by securing enrollment in all necessary insurance networks...

The details below will help you understand how we can help!

Is Your Credentialing & Enrollment Process Done Correctly?

We understand the critical role proper payer enrollment and credentialing play in maintaining the financial health of a practice or facility. Navigating the complexities of payer applications and compliance requirements can be time-consuming and frustrating. We will help you simplify this process, handling all aspects of provider enrollment and credentialing to ensure a smooth, timely experience...

Sentrii’s Insurance Credentialing Solution guarantees you will be capable of billing for your services efficiently by ensuring you remain compliant and fully engaged with ALL of your insurance networks.

We Will Provide Your Practice the Following Services

Our Credentialing Services

  • Ensure your practice meets the insurance network's compliance standards
  • Help you verify your education, training, licensure, and professional history
  • Verifying malpractice history and liability insurance

Our Enrollment Services

  • Register your practice with appropriate insurance networks
  • Proactively review clearinghouse and insurance portal access for efficiency
  • Register for direct ACH payment, reducing fees for your practice

Our Process for Credentialing & Enrollment

  • Credentialing and enrollment are two seperate phases
  • In most cases, proper credentialing is often a prerequisite for enrollment
  • The process varies by carrier and can often take several months to complete
Once credentialed and enrolled correctly, our clients find our process easy, saving them time!

Benefits of Using Our Credentialing & Enrollment Services

Improved
Cash Flow

By billing for services promptly, you can maintain financial stability through minimized delays and achieve an improved cash flow for your practice

Enhanced Compliance

By thoroughly verifying provider qualifications, your practice can maintain compliance with regulatory standards and prevent the risk of audits or penalties

Streamlined Operations

Without the stress of payer applications and ongoing credentialing, your practice can reduce administrative burdens and focus on patient care and efficiency

Access to Insurance Networks

Attract more patients and expand your practice’s market reach by increasing the number of insurance plans your practice accepts

What's the NEXT STEP once you address any issues you have with your current Insurance Credentialing & Provider Enrollment Process?

When you work with our team to streamline every aspect of your Revenue Cycle Management (RCM) Process to ensure that you are maximizing revenue, reducing inefficiencies, and eliminating costly errors, your practice will benefit in a magnitude of ways! Our proven process includes 12 key steps within the medical billing lifecycle that our team can help you implement or manage on your behalf - let's connect and discuss your options TODAY!

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Here are Some Frequently Asked Questions Our Staff Gets...

Is there a long-term contract?

We offer a 90-day termination clause in all our contracts, allowing flexibility for our clients. While the traditional approach was to use long-term contracts to cover ramp-up costs, we now structure those costs based on the specific work needed, eliminating the need for long-term commitments

How soon can I get started?

If there are no termination clauses to navigate and you can facilitate administrative control, we can get started right away. Our team is prepared to ensure a smooth transition with minimal disruption to your operations

Is it painful to transition to a new billing company?

Transitioning to a new billing company can be challenging, but a lockbox can help streamline the process by consolidating payments from multiple sources into a single location. While there may still be some initial setup and coordination required, using a lockbox minimizes payment disruptions and simplifies cash flow management, making the transition smoother and less painful. Proper planning and communication with payers can further reduce potential issues

How long will it take for me to see improvements?

Our reports are reliable, but the timeline for seeing improvements depends on several factors, including the quality of prior data and the specific changes implemented. While an apples-to-apples comparison is ideal, we often inherit incomplete or inconsistent data, requiring time to normalize and establish accurate benchmarks. Typically, meaningful trends become apparent within a few billing cycles

Can you work with my current staff?

We always strive to incorporate existing staff whenever possible, as long as they are willing and able to contribute effectively. We understand that external billing vendors can sometimes be met with hesitation, but our goal is to work collaboratively and ensure a smooth process while valuing the expertise already in place. Finding good talent is challenging, so we’re happy to work with your current staff to maximize efficiency and success

How much do you charge?

Our pricing is typically based on a percentage of collections, which varies depending on your practice's volume and specialty. Patient billing, including mailed statements, text, and email bills, is charged separately at cost, with digital options often being more affordable. Provider credentialing and enrollment are offered à la carte, and we also provide a wide range of optional services, from appointment reminders and eligibility checks to consulting and utilization reviews. For smaller practices, we have a minimum fee designed to be affordable. Let’s discuss your specific needs so we can provide a tailored quote

Still have questions about Insurance Credentialing & Provider Enrollment? Pick up the phone and give us a call @ 440-226-6837; we have the answers you need!

Check Out these Recent Posts from Our Blog...

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Test Blog Post #3

By  Casey Stillman    On 14 February 2025
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Test Blog Post #2

By  Casey Stillman    On 14 February 2025
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